..It is argued that DCM is a potentially useful technique to be used within the area of priority setting more generally. However, further work is required to address methodological issues around the technique...

..The process we utilized here, describing using case study methods and evaluating using 'accountability for reasonableness', is a generalizable process for improving the fairness of priority setting in hospital drug formularies...

..It does so with reference to the norms of efficiency, effectiveness, sovereignty and democracy as a means of making explicit the values that need to be considered in order to make health and population sector reform a fair process...

..The objective of this paper is to describe priority setting in a teaching hospital in Uganda and evaluate the description against an ethical framework for fair priority setting processes--Accountability for Reasonableness...

Tools of the trade: a comparative analysis of approaches to priority setting in healthcare

..Although PBMA is not without challenges, from an economic perspective, it does seem to "get the thinking right", and, importantly, as a process, can incorporate some of the other approaches to priority setting discussed in this paper...

..The politics of rationing may favour muddling through and the evasion of responsibility but this will be difficult to sustain in an environment in which public awareness of decision-making in health care is growing...

Promoting participation in organizational decision making by clients with severe mental illness

..Such initiatives will give physicians more "voice" in hospital decision making, thus creating opportunities for physicians to express their interests and play a more active role in the pursuit of the hospital's mission and objectives...

A politico-economic analysis of decision making in funding health service organisations

..The results indicate that such a process can be effective in not only generating the necessary goodwill to enable such group decision making, but also in establishing a more realistic set of policy recommendations...

Public participation in health planning and priority setting at the district level in Uganda

Lydia KapiririCentre for International Health and Department of Public Health and Primary Health Care, University of Bergen, NorwayHealth Policy Plan 18:205-13. 2003

..To explore the experiences of the public and leaders with participatory planning and priority setting in health, in a decentralized district in Uganda...

..But once leadership was sure that "shared vision" existed leadership was able to trust staff to make appropriate decisions to realize that vision...

Successful strategic planning: creating clarity

Jim AdamsHealthlink Inc, USAJ Healthc Inf Manag 19:24-31. 2005

..with uncertainty, such as scenario planning, fit with organizational strategic planning? How can a meaningful IT strategy be developed if the organization strategy is lacking? What principles should guide a good IT planning process?..

..It all depends on how change is managed. The author describes major leadership strategies and tools to effectively manage change, particularly innovative changes that result in better outcomes for patients, staff, and the organization...

Interdisciplinary shared decision-making: taking shared governance to the next level

..Transitioning from traditional structures to structures that are more of a partnership between point-of-service staff and administrators is the foundation for creating an evidence-based practice culture...

..To describe a model that has been developed to guide nurses and other health professionals in collaborative efforts toward evidence-based nursing practice...

First-line nurse managers in university hospitals--captives to their own professional culture?

Elina ViitanenTampere School of Public Health and Medical Fund of Tampere University Hospital, University of Tampere, FIN 33014 Tampere, FinlandJ Nurs Manag 15:114-22. 2007

..This study investigates whether first-line nurse managers in hospitals share common dispositions related to managerial work and leadership, what they are like, and what their relationship is with the various expectations set on them...

..4, chi=3, chi=0.96, chi=0.95, chi=0.95). These findings suggest that the Leader's empowering behaviours can enhance person-job fit and prevent burnout. These findings have important implications in the current nursing shortage...

Organisational climate as a cause of job dissatisfaction among nursing staff in selected hospitals within the Mpumalanga Province

C S P LephokoDepartment of Health Studies, University of South AfricaCurationis 29:28-36. 2006

..Recommendations were made to promote job satisfaction in selected public hospitals within the Mpumalanga province...

..The findings of this study are both timely and relevant for nurse leaders faced with the effects of the current supply-and-demand nursing shortage and with fiscal restraints mandated by managed care and regulatory agencies...

..This article will discuss how unique and personal skill sets of a leader complement elements of traditional change theory, resulting in moving organizations from minimal existence to national recognition...

Power sharing. A transformational strategy for nurse retention, effectiveness, and extra effort

..Strategies for power sharing include serving as role models and mentors, energizing staff, resisting attitudes of staff ownership, reducing staff nurse stress of leader presence, and information sharing and commendations at meetings...

..structure needed for success including development of appropriate teams and committees for organizational decision making and change (the Information Planning Management Committee, IAIMS Planning Committee, Task Teams); 2...

..Findings from this study will drive the development of interventions aimed at differing levels of communication, leadership, communication, and palliative care to improve end-of-life care for nursing home residents. ..

..This information is essential for both large purchasers, such as the Medicare program and employers, and policy makers to determine the appropriate role of these types of interventions in improving quality of care. ..

..Further, data from a core set of background and proximal factors common across the three interactive projects will be combined to develop a model of factors operative in producing NDBs in general. ..

..The results of this study will extend the understanding of predictors of influenza vaccine acceptance and will prove valuable in the development of intervention strategies to boost vaccine acceptance rates. ..

..This application will provide support for the institutionalization of these efforts at the University that educates more researchers and professionals involved in urban health than any university in the nation. [unreadable] [unreadable]..

..It will require computer modeling, based on precedents in MR-PET scanning. We will determine if surgeons will accept the synthesized images as a replacement for CT-myelography for purposes of surgical planning. ..

..This study holds the promise of improving care in nursing homes by testing an organizational-level change intervention to sustain the use of nursing care best practice protocols and thus improve the quality of care. ..

..This knowledge will position the candidate to launch a research career as an investigator who will conduct projects aimed at scientifically evaluating mechanisms to improve the care of persons with SCD in the ED setting. ..

..Although medication adherence improves CHF outcomes, adherence rates remain around 50%. The intervention to be tested in these projects has the potential to improve CHF outcomes by improving adherence rates. ..

..a treatment? 2) Do information types differentially affect participants' interpretation of importance and salience of the information? 3) What new questions or concerns are raised for participants by full information? ..